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Carolinas Case Conference - Dr. Goode

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1. When resuscitating DKA patients, avoid chloride-rich fluids as to not worsen acidosis.
2. Fight the urge to give bicarb! It does not address the pathophysiology of DKA and will likely harm the patient.
3. Mind the gap! Remember to follow the closure of the anion gap to guide treatment, not the serum glucose.
4. Not all "respiratory distress" is due to pulmonary etiology - think about metabolic causes of tachypnea as well!



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